NPIMap

Organization Active NPI

Affiliated Sports Clinic, P.C.

  • Chiropractor
  • Newark, NJ
National Provider Identifier
1417271982
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00241200 Issued in NJ
Legal business name
AFFILIATED SPORTS CLINIC, P.C.
Practice address
9-25 Alling Street
Suite # 101
Newark, NJ 07102
Phone
(973) 642-0300
Fax
(973) 642-0302
NPI assigned
Mar 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Edward Paul Chesnay, D.C.
Title
Owner
Phone
(973) 642-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00241200 NJ Primary

Addresses

Primary practice location

9-25 Alling Street
Suite # 101
Newark, NJ 07102

Mailing address

9-25 Alling Street
Suite # 101
Newark, NJ 07102
Phone (973) 642-0300

National Provider Directory

National Provider Directory
Tax ID family
Affiliated Sports Clinic PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9-25 Alling St
Ste 101
Newark, NJ 07102
Phone (973) 642-0300

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1417271982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9-25 ALLING STREET",
            "address_2": "SUITE # 101",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07102",
            "telephone_number": "973-642-0300",
            "fax_number": "973-642-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9-25 ALLING STREET",
            "address_2": "SUITE # 101",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07102",
            "telephone_number": "973-642-0300",
            "fax_number": "973-642-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED SPORTS CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "CHESNAY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-642-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00241200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.